| 管彬,李贵妃,刘艳.放散式体外冲击穴位点对老年慢性颈痛病人疼痛程度、运动能力的改善作用[J].安徽医药,2024,28(3):517-521. |
| 放散式体外冲击穴位点对老年慢性颈痛病人疼痛程度、运动能力的改善作用 |
| Effect of discrete extracorporeal impact acupuncture points on the improvement of pain level and motor ability in elderly patients with chronic neck pain |
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| DOI：10.3969/j.issn.1009-6469.2024.03.019 |
| 中文关键词: 颈痛 物理康复 放散式体外冲击穴位点 老年 疼痛程度 表面肌电信号 |
| 英文关键词: Neck pain Physical rehabilitation Radiating external impact points Old age Pain degree Surface electromyog. raphy signal |
| 基金项目:湖南省科技创新计划项目( S2019JJQNJJ2311) |
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| 中文摘要: |
| 目的探讨放散式体外冲击穴位点对老年慢性颈痛病人疼痛程度、运动能力的影响作用。方法采用电脑随机数字表法将 2020年 1月至 2021年 1月中南大学湘雅三医院 98例老年慢性颈痛病人，按照 1∶1试验设计原则分为两组，各 49例。对照组予以传统物理康复疗法，观察组予以物理康复联合放散式体外冲击穴位点，连续治疗 15 d。观察比较两组临床疗效、不同时间点数字疼痛评分法( numerical rating scale，NRS)评分、颈椎功能障碍指数( NDI)、颈椎主动活动障碍、肌力和耐力、表面肌电信号及疼痛介质［前列腺素 E2(PGE2)、 P物质、神经肽 Y(NPY)］变化。结果观察组总有效率 97.96%(48/49)高于对照组 77.55%(38/49)(P<0.05)。治疗 7d、15 d观察组 NRS评分分别为( 3.00±0.49)分、(1.09±0.20)分，均低于对照组的( 3.56±0.52)分、(1.78±0.36)分( P<0.05)。治疗 7d、15 d观察组颈椎功能障碍分别为( 9.46±2.85)分、(5.12±2.10)分，颈椎主动活动障碍分别为(1.63±0.76)分、(0.58±0.32)分，均低于对照组的(12.10±3.10)分、(8.96±2.56)分，(2.10±0.53)分、(1.52±0.45)分(P<0.05)。治疗 15 d观察组肌力、耐力分别为( 29.63±3.12)mm、(35.98±2.56)s，均高于对照组( 28.12±2.56)mm、(33.21±2.10)s(P<0.05)。治疗 7 d、15 d观察组血清 PGE2、NPY、P物质水平均低于对照组( P<0.05)；治疗 15 d观察组 22 mmHg、26 mmHg、30 mmHg气囊压力时表面肌电信号均低于对照组( P<0.05)。结论放散式体外冲击穴位点有助于提高老年慢性颈痛病人疗效，减轻疼痛，改善颈椎功能和运动功能，增强肌肉肌力和耐力。 |
| 英文摘要: |
| Objective To investigate the effect of discrete extracorporeal impact points on the pain level and motor ability of elderlypatients with chronic neck pain.Methods Using a computerized random number table method, 98 elderly patients with chronic neckpain in the Third Xiangya Hospital, Central South University from January 2020 to January 2021 were assigned into two groups accord.ing to the principle of 1:1 trial design, with 49 cases in each group. The control group received traditional physical rehabilitation thera.py, and the observation group received physical rehabilitation combined with radiating external shock points for continuous treatmentfor 15 days. The clinical efficacy, pain level (NRS) scores at different time points, cervical spine dysfunction index (NDI), cervical ac.tive movement disorder, muscle strength and endurance, surface EMG signals and pain mediators [prostaglandin E2 (PGE2), substanceP] (SP), neuropeptide Y (NPY)] changes were observed and compared.Results The total effective rate in the observation group was97.96% (48/49), which was higher than that in the control group (77.55%) (38/49) (P<0.05); after 7 days and 15 days of treatment, theNRS scores in the observation group were (3.00±0.49) scores and (1.09±0.20) scores, respectively, which were lower than those in thecontrol group [(3.56±0.52) scores and (1.78±0.36) scores] (P<0.05); after 7 days and 15 days of treatment, the cervical dysfunction were(9.46±2.85) scores and (5.12±2.10) scores; and active movement disorder in the observation group were (1.63±0.76) scores and (0.58±0.32) scores, respectively, which were lower than those in the control group [(12.10±3.10) scores and (8.96±2.56) scores; (2.10±0.53)scores and (1.52±0.45) scores] (P<0.05); after 15 days of treatment, the muscle strength and endurance in the observation group were(29.63±3.12) mm and (35.98±2.56) s, which were higher than those in the control group [(28.12±2.56) mm and (33.21±2.10) s] (P<0.05); after 7 days and 15 days of treatment, the serum levels of PGE2, NPY, and SP in the observation group were lower than those inthe control group (P<0.05); the surface electromyography signals at 22 mmHg, 26 mmHg, and 30 mmHg in the observation group werelower than those in the control group (P<0.05).Conclusion Physical rehabilitation combined with radiating external impact points canhelp improve the curative effect of elderly patients with chronic neck pain, reduce pain, improve cervical and motor function, and in.crease muscle strength and endurance. |
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